Russell Dean Park, PHD

NPI #1326020710 in Jamestown, California

Provider Information

NPI Number
1326020710
Entity Type
Individual
Name
Russell Dean Park, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Nov 19, 2005
Last Updated
Apr 4, 2013

Practice Location

Address
5100 O'BYRNES FERRY RD.
ZIP Code
95327
Phone
(209) 984-5291

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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